HomeMy WebLinkAboutHAZARDOUS WASTE KERN CO U NTY OFFICE MEMORAND U
TO : ACCOUNTING DATE: //- 9- ~ %
FROM : ~. ~,&~ y ~
SUBJECT: CLOSURE OF WORK ORDERS
WORK ORDER NUMBER
WORK ORDER NAME
LAST DATE WORK ORDER WAS [;TILIZF2] //'3
PROGRAM MANAGER
SWEET OIL TOOL RENTAL, INC.
3511 GETTY STREET
BAKERSFIELD. CA 93308
October 29, 1992 ......
TE~Y L. G~Y >,~ ......
Hazardous l~terials Inspector
Hazardous Materials Management Program
2700 M ST~ET SUITE 300
B~ERSFIELD CA 93301
Dear ~.~r. Gray,
The following violations have been corrected:
1. Violation of California Health and Safety Code Division
20, Chapter 6.5, Section 25143.9
The waste oil storage containers have been labeled with
the words "Excluded Recyclable Material".
2~ Violation of California Code of Regulations, Chapter 30,
Title 22, Section 66262.34 (f) (1) (2) (3) (a) (b) (c).
The containers that store waste have been labeled in
accordance with the above requirements.
3. Violation of California Code of Regulations, Chapter 30,
Title 22, Section 66264.173
The oily wastes surrounding the waste water recycling
unit have been closed.
If you have any questions regarding the above corrections,
please don't hesitate to contact me at the above telephone
number.
Sincerely,
Bill Wiebe
,.£SL.SRCE MANAGEMEN'I AG.NCY
Environmental Health Services Department
RANDALL L. ABBOTT STEV~ McCALLEY, REHS, DIRECTOR
DIRECTOR ^i~ Pollutio~ Control District
DAVID PRICE !11 mu. to~ J. RODDY, APCO
ASSISTANT DIRECTOR Planning & Development Sewice~ Department
TED JAMES, AICP, DIRECTOR
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
September 30, 1992
Sweet Oil Tool Rental
ATTN: Bill Wiebe
3511 Getty Street
Bakersfield, CA 93308
SUBJECT: Hazardous waste storage violations located at 3511
Getty Street, Bakersfield Ca.
NOTICE OF VIOLATIONS
Dear Mr. Wiebe:
On August 27, 1992 an inspection was conducted at the address noted
above. As a result of that inspection, violations of hazardous
waste regulations- and stat'utes were identified. Specific
violations are listed below.
It has been determined that the facility is in Violation of the
following regulations and statutes cited below:
I. The facility is' in violation of California Health and Safety
Code, Division 20, Chapter 6.5, Section 25143.9.
"Recyclable waste material must be labeled or marked
clearly with the words EXCLUDED RECYCLABLEMATERIAL,
The'waste oil Storage containers were not labeled or marked in
accordance with the above requirements.
2. The facility is in violation of California Code of
Regulations, Chapter 30, Title 22, Section
66262.34(f)(1)(2)(3)(A)(B)(C).
2700 "M" STREET, SU~ 3..00 BAKERSFIELD, CALiFOF~NL~ 93301 (805) 861-3636
"Generators who accumulate hazardous waste on site
without a permit or grant of interim status shall comply
with the following requirements: the date upon which each
period of accumulation begins shall be clearly marked and
visible for inspection on each container and portable.
tank; the date the 90 day period begins, for purposes of
Subsection (a) and (b) of this Section, shall be clearly
marked and visible .for inspection on each container and
tank. Ail containers and portable tanks shall be labeled
wi th the following information: The composition and
physical state of t. he wastes, statement or statements
which call attention to the particular hazardous
properties of the wastes (e. g. flammable, reactive, etc. )
and the name of the person producing the wastes."
It was determined during the inspection that none of the
containers storing waste were labeled in accordance with the
above requirements.
3. The facility is in violation of California Code of
Regulations, Chapter 30, Title 22, Section 66264. 173.
"A container holding hazardous waste shall always be
closed during transfer and storage, except when it is
necessary to add or remove waste."
It was observed during the inspection that the oily wastes
surrounding the waste water recycling unit were open.
ORDER TO CORRECT
Within thirty (30) Of receipt of this letter, the facility owners
or operator must correct all deficiencies noted in this Notice of
Violation, submit to the Department written documentation that all
violations have been corrected.
In accordance with Kern County Ordinance Code G-5541, Section
8.04.100 the Department is authorized to charge for inspections,
~review of reports, and laboratory service costs incurred in the
process of obtaining compliance with any violations noted. Be
advised that you will be billed at the rate of $80.00 per hour for
oversight during the abatement of these violations.
If you have any questions regarding this Order, you may contact me
at (805)861-3636, extension 582.
~ in¢ erely,
Terry L. Gray
Hazardous Materials Inspector
Hazardous Materials Management Program
RANDALL L. ABBOTT STEVE racc^,, ~¥, REHS, Om£CTOe
DIRECTOR ^~, eo~ut~ ¢o.~ol o~,,~
DAVID PRICE !Ii VaU. U~M J. RODD¥, APCO
ASSISTANT DIRECTOR Planning & Development Services Department
TED JAMES, AICP, DIRECTOR
ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
September 30, 1992
Sweet Oil Tool Rental
ATTN: Bill Wiebe
3511 Getty Street
Bakersfield, CA 93308
SUBJECT: Hazardous waste storage violations located at 3511
Getty Street, Bakersfield Ca.
NOTICE OF VIOLATIONS
Dear Mr. Wiebe:
On August 27, 1992 an inspection was conducted at the address noted
above. As a result of that inspection, violations of hazardous
waste regulations and statutes were identified. Specific
violations are listed below.
It has been determined that the facility is in violation of the
following regulations and statutes cited below:
1. The facility is in violation of California Health and Safety
Code, Division 20, Chapter 6.5, Section 25143.9.
"Recyclable waste material must be labeled or marked
clearly wi th the words EXCLUDED RECYCLABLE MATERIAL"
The waste oil storage containers were not labeled or marked in
accordance with the above requirements.
2. The facility is in violation of California Code of
Regulations, Chapter 30, Title 22, Section
66262.34(f) (1) (2) (3) (a) (B) (C).
2700 "M" STREET, SUFFE 300 BAKERSFIELD, CALIFORNIA 93301 (805) 861-3636
"Generators who accumulate hazardous waste on site
without a permit or"grant of interim status shall comply
with the following requirements: the date upon which each
period of accumulation begins shall be clearly marked and
visible for inspection on each container and portable
tank; the date the 90 day period begins, for purposes of
Subsection (a) and (b) of this Section, shall be clearly
marked and visible for inspection on each container and
tank. Ail containeJ.~s and portable tanks shall be labeled
with the following information: The composition and
physical state of the wastes, statement or statements
which call attention to the particular hazardous
properties of the wastes (e. g. flammable, reactive, etc. )
and the name of th.=~ person producing the wastes."
It was determined during the inspection that none of the
containers storing waste were labeled in accordance with the
above requirements.
3. The facility is in violation of California Code of
Regulations, Chapter 30., Title 22, Section 66264.173.
"A 'container holding hazardous waste shall always be
closed during transfer and storage, except when it is
necessary to add or remove waste."
It was observed during the inspection that the oily wastes
surrounding the waste water recycling unit were open.
ORDER TO CORRECT
Within thirty (30) of receipt of this letter, the facility owners
or operator must correct all deficiencies noted in this Notice of
Violation, submit to the Department written documentation that all
violations have been corrected.
In accordance with Kern County Ordinance Code G-5541, Section
8.04.100 the Department is authorized to charge for inspections,
review of reports, and laboratory service costs incurred in the
process of obtaining compliance with any violations noted. Be
advised that you will be billed at the rate of $80.00 per hour for
oversight during the abatement of these violations.
If you have any questions regarding this Order, you may contact me
at (805) 861-3636, extension 582.
Sincerely,
T~rry L. Gray
Hazardous Materials Inspector
Hazardous Materials Management Program
DRAFT
September 4, 1992
Sweet Oil Tool Rental
Bill Wiebe
3511 Getty St.
Bakersfield, CA 93308
SUBJECT: Hazardous waste storage violations located at 3511
Getty Street, Bakersfield Ca.
NOTICE OF VIOLATIONS
Dear Mr. Wiebe:
On August 27, 1992 an inspection was conducted at the address noted
above. As a result of that inspection, violations of hazardous
waste regulations and statutes were identified. Specific
violations are listed below.
VIOLATIONS
It has been determined that the facility is in violation of the
following regulations and statutes cited below:
1. The facility is in violation of California Health and Safety
Code, Division 20, Chapter 6.5, Section 25143.9.
"Becyclable waste material must be labeled or marked
clearly with the words EXCLUDED REC}~LABLE MATEHIAL"
The waste oil storage containers were not labeled or marked in
accordance with the above requirements.
2. The facility is in violation of California Code of
Regulations, Chapter' 30, Title 22, Section
66262.34(f)(1)(2)(3)(A)(B)(C).
"Generators who accumulate hazardous waste on site
without a permit or grant of interim status shall comply
with the following requirements: the date upon which each
period of accumulation begins shall be clearly marked and
visible for inspection on each container and portable
tank; the date the 90 day period begins, for purposes of
Subsection (a) and (b) of this Section, shall be clearly
marked and visible for inspection on each container and
tank. Ail containers and portable tanks shall be labeled
with the following information: The composition and
physical state of the wastes, statement or statements
which call attention to the particular hazardous
properties of the wastes (e.g. flammable, reactive, etc. ~
and the name of the person producing the wastes."
It was determined during the inspection that none of the
containers storing waste were labeled in accordance with the
above requirements.
3. The facility is in violation of California Code of
Regulations, Chapter 30, Title 22, SeCtion 66264.173.
"A container holding hazardous waste shall always be
closed during transfer and storage, except when it is
necessary to add or remove waste."
It was observed during the inspection that the oily wastes
surrounding the waste water recycling unit were open.
ORDER TO CORRECT
Within thirty (30) of receipt, of this letter, the facility owners
or operator must correct all deficiencies noted in this Notice of
Violation, submit to the Department written documentation that all
violations have been corrected.
In accordance with Kern County Ordinance Code G-5541, Section
8.04.100 the Department is authorized to charge for inspections,
review of reports, and laboratory service costs incurred in the
process of obtaining compliance with any violations noted. Be
advised that you will be billed at the rate of $80.00 per hour for
oversight during the abatement of these violations.
If you have any questions regarding this Order, you may contact me
at (805) 861-3636, extension 582.
Sincerely,
Terry L. Gray
Hazardous Materials Inspector
Hazardous Materials Management Program
$~EET OIL TOOL RENTAL INC.
3511 GETTY STREET
BAKERSFIELD, CA 93308 ~,. ....
325-7235 ~.~¢
September ?Z, 1992
Te~--ry L. Gray
HAZARDOUS MATERIALS INSPECTOR
RESOURCE MANAGEMENt AGENCY
2700 M STREET SUITE 300
BAKERSFIELD CA 93301
::T. nclosed are 'the i.~ictu;.-es you ;.-eques'ted of 'the oil holding tank.
if there i!; any thing else ! can help you with, please do~',"t
i~esitate to comtact me a~ the above telepho?.e number.
KERN OOU NTY OFFICE MEMORANDUM
TO : ACCOUNTING DATE
FROM :'
SUBJECT: CLOSURE OF WORK ORDERS
WORK ORDER NUMBER
WORK ORDER NAME ~;~.~¢~'7 o,'/ ~-~/
LAST DATE WORK ORDER WAS UTILIZED
FOR C~.OSURE OS WORE ORDSR
PROGRAM MANAGER ....
~--- lo- .-, 78 --- 1001 -, ACTIVE
~ _
-- 332-092-01-00-4C SHEET OIL TOOL RENTAL -. 5497-1755--
057-039 1 ,' .-, 83,653 ~' ...... ~ ...... '
83201 3 ...... 31,069
31050 83096 -', 3511 GETTY ST 10/31/82 .....
.. BAKERSFIELD CA 93308 .....
FROM PARCEL 3511 GETTY ST ...........
332-092-01-04-0 BAKERSFIELD CA 93308 - -,.. 114o722 114o722 .....
,., 3601 GETTY ST 'BAKERSFIELD ,.
.... 118- . 121 ,. 1001 ACTIVE 1
PAGE 289
332-092-02-00-7C. SWEET OIL TOOL RENTAL
057-039 ~.. 1 ..... 12o~72 ........
00000 4, 3 ..... 56,840 ~
-' 31051 91178 ~" 3~11 GETTY ST 00/00/00 *- 997
'" BAKERSFIELD CA 93308 ,' ~ 338,~91
FROM PARCEL -' 3511 GETTY ST
332-092-02-0:°6 BAKERSFIELD CA 93308 ..... 408°800 q08,800
..... 3511 GETTY ST BAKERSFIELD ~
...... 122 .... 126 .... 1001 ACTIVE
· " 332-09~-02-01-6C SHEET OIL TOOL RENTAL
'-: 0~?-039 -~, 1 ...... 12,228
· ' 00000 ~ 3 ...... 55,72~ ~
~ 3105~ 90174 -o- 3511 ~ETTY ST 00/00/00 ~ 1.128 ~-
· '. BAKERSFIELD CA 93308 ,. - 358o198
-, 3511 GETTY ST ..........
BAKERSFIELD CA 93308 ..... ~27,~80 4~7,280
.', 3511 GETTY ST BAKERSFIELD .
...... 122 .... 126 -~. 1001 -~ DELETED I
--- 332-0~2-03-01-9C HYATT H & MRLTONE R ET UX -, 5103-0055
'-' 057-039 ~-. 1 ~ RENTAL ENTERPRISES ..... 2Mo~71
00000 -~. 3 ..... 13,827 ~
,. 02010 79172 ~.., P 0 BOX 580 0~/30/7B ~
· -. PASO ROBLES CA 93~7 .........
-, P 0 BOX 5BO ..... ~
PASO ROBLES CA 93~7 .... 3B,79B 38,798
., ," 3509 GETTY ST BflKERSFIELD - -.
..... 127& .'. 128 .... 1001 - ACTIVE
· ., 332-092-03-02-BC DIXON ~ILLIAM L -' 6090-2013 ....
- 057-039 1 0.. ,~ ~,---,,-.
00000 3 ......
, 82020 -~- R R 3 BOX 93-D 02/03/88
· . SANTA FE NM 87505 .........
- R R 3 BOX 93-0
SANTA FE NM 87505
,. ~-, TRACT 1001 I00~ INT M.A. LOTS 127-128 -
.... ., 127 .. .... 1001 ., ACTIVE
;.- 332-092-04-00-3C LON HELLINGTON JR & VICTORZA -, 5Y76-OgB2-- .,-
-- 057-039 ., I ...........
00000 ~ 3 .......
82020 -:'. P 0 BOX 6602 07/31/82 ~ ~.-
· . TORRANCE CR 90505 ....
FROM PARCEL -. P 0 BOX 6602 ...........
332-092-0~-03-0 TORRRNCE CR 90505
.. ,'. 100~ MR
S V2 OF TRACT I001
,aa-09 PTN. OF NE V4 OF SEC. 23
1'17
' ~AC. P~R.
~6-~ V~AT~D PER. DEED ~9~12'
' I ' ' I / I / I~ I ~ ~*~
~ I I
' ' ' ' ,o,I;~ '~ ,'~' ~'i'o,~~, I,~ ~, , i' ' ,
, ~ ' ~ I ~ , ~ L-,~,~--~
~ ~1 ~ I
!,. , , , _._ , ~ _~_~_~__ ~. , , ,,.
I ~t-~,~ ~ ~
: ASSESSORS MAP
· ' COUNTY
#ONK ORDER LOG 'SHEET*
Date: ~-_.~'~,--'~% Work Order #: EM0 ..~2. ~'~
Tracking #: ~_~ WO Category: Hazmats
APN :_~-_~-~- Go - ~ WO T~e: ~~
RP Code:
WORK ORDER NA~E: <~ c,08~7~ 0 ,' / 77~0 / ~,~-,~/
RESPONSIBLE
PARTY (RP) NAME:
RP CONTACT: ~ ,~
RP ADDRESS: ~ ~// ~ry ~,
RP PHONE NOS.: (~) ( )
PROGRAM: HMMP-Enforcement HMMP-Permitting
LOCATION:
FACILITY
NAME:
REPORTING PERSON: PHONE NO.
COMMENTS:
WOIIK O]LI)K'lZ LOG SHEET
Date: ~'~7~- Work 'Order
Tracking ~: ~ WO Category: Hazmats
~N: _~.3~- ~q~- Ol-~- q WO T~e:
33~-o4~ -o~-o~-? Reimb.: Y N
BP Code:
WORK ORDER NAME: ~ f ~- 0 / / ~'DD/ ~-~;~ /
RESPONSIBLE
PARTY (RP) NAME:
RP CONTACT: ~;~
RP ADDRESS: ~ ~//
RP CITY: 6 ~ [~-/'~ STATE: CA ZIP: ~33~8 +
RP PHONE NOS.: (~v~)
(. )
INSPECTOR:
PROG~M: HMMP-En fo rc ement HMMP-Pe~mi t ting
DESCRIPTION: ~c
LOCATION:
FACILITY
NAME:
REPORTING PERSON: PHONE NO.
COMMENTS:
~IC Shallow Injec=±o~ Te~ lhec~list
ii/9o
FACILITY NAME ..~ ~ ~ T ¢~ ~' ,i' ~-Oo /
~ OF ~S~ION ~/~7/~t . . T~:
INS~OR (S): ~ ~ r 7 ~ ~ ~ Y
ADDITIONAL PARTICIPANTS
I. General Information
A. Introduce Yourself and All O~hers
(Show Credentials)
B. Explain why you are ~/~ere, go over =he No=Ace of
Inspe~ion. Have ~ read and si~
C. (Need ~al Info. )
Phone No. ~u.S - 3 ~ ~- ?,~3~
D. ~erator' s N~e:
~ess:
Phone No.:
(~ BUS--SS ~S, also ask for bus.ess license)
E. Parent' C~p~y =
Ad.ess:
~e ~ey a s~sidia~, of a co.ora=ion? ~e ~ey
inco~orated in ~e State?:
II. Inte~ew the Operator~Nat~e of Business
A. How ~ng in Bus.ess?: ~o v~,~
B. ~e ~ey a H~her of an Association?:
C. ~e ~ey aware o~ any Water Supply Well ~ca=ion/O~ers~ip:
. ~o .
D. Sl~e His=o~ - Years of Occupation, Previous O~ers and
E. Products or Se~ices Offered?: ~7,~/p ~,~ ~Z~ / .~ /
F. arief Description of ~y Process, oPer~ion, or
G. ~a= ~emicals are S~=ored on SiCe?:
H. ~a~eriai Safe~y Da~a Sheets?:
Verifica~ion Re=eip=~? How Often?:
K. Waste Hauler:
Verifi~ion Receipts? How Often?: j~r
L. ~k for Site ~ps of Facility ~d ~-Builts, Pl,,~g Plans
for ~e disposal
G~ SI~ CO~IONS(House~ep~g, ease of
cooperation): 64 ~ ~/ /~ i.~
A. General appearance of ~e Well(s): ~c~c//.~ <?.~ /~ ~/~.
C. ~lasg V Well[s) S~a~:us Yrs. of ODe~=ig~
D. Oil/Wa=er Separator, or grease ~ap device used:
E. ~e ~e Wells ~ped Out, if so How Often:
F. Do ~e We~ls ~ver' get Plugged
G. Cons=~c=ion De=ails- TD, Di~e=er, ~sing, (Measure)
H. A~ ~he Injection w~3~l~ Re~)_la=a=e= by a State or ~cal
H. How are Spills, or Accidents Handled?:
J. How are Floors Cleaned~:
K. ~ere does ~e floor/lo= drainage wa=er go~:
L. Car Wash? I~ so, how is effluent disposed? Cleaners used?:
M. How many au=os are se~iced daily?:
DOCDT[ENTS TO REQUEST
1. Map of Facility
2. As-built Diagrams, Plum,~ing Plans
3. Drillers Logs
4. Monitoring Well Data
5. Flow Diagram of Processes, Waste Generation, and Disposal
7. Material Safety Data Sheets
UNDERGROUND TN~ECTTON CONTROL PROGRAM
INSPECTION REPORT
Inspector 7~,~¥ f"?~ ~¥
Fa~±litv Tn~oz'mat:i. on
Paren~ Company
Address 3.~(/ ~ ~
Con=ac= N~e and Position
Dos=ription of waste
Description of injection well
Description of activity that :may endanger ground water but not
related to injection wells or tan~s (e.g. ponds, spills)
Inspection Info.etlon
Inspection Date ~/m~?A
Number of Wells
Well T~pe Auto Service Industrial Waste
Agricultural Drainage Storm Water Other
Status of Wells Active Abandoned Under Construction
Other
Xnj ectate Sampled (Y/N)
Violation Found (Y/N) ~'
Follow-Up Needed(Y/N)
RCRA Facility(Y/N)
J
KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
SERVICE AND COMPLAINT FORM Oate._~..-_~...~_?..~'_~ ...... Time:
[] ~.,~,~.,,~e,, ~o~,,.,~, ~-;.__~_ .......... ~,,,,~,~o,_~ .... ~.Z.....:_.~.~Z_ ............ ~. ........
~,,.~,,o., ~~ ~,' / .z~!.....~_~ .....
~o~rt~ O~n~r ........................................... Ad~r~* ....................................... ~
~,,,o, ,o~ ,,~u,,~._..W~__-- ~~~~-~ ~ ~ . .~ ................... ~_~. ..................................
............................. _.__._ ..........................
,~,o...,,on
Taken by
RESULTS OF
Complainant notified '--~//~
~ ~ ....................... ~,~ ~ ................. ~z~.~_~ .... ~ ..................................
KERN COUNTY ENVIRONMENTAL HEALTH SEI~VICES DEPARTMENT
SERVICE AND COMPLAINT FORM Date._.~..~_~.__~_.~ .... Time:
[] ~,v,...u.,, c~- Com,,a,n, CT.o ..... ~ ....... ~,,,~.~,o:__~.~:~_..~.~__..~_ .......................
~o~rty Owner Address ~one
Information
TaKen by
RESULTS OF .
I NVESTIGATION._~j_~'/-2~ -- ./~_~.,_-,.;_~_....~.._./=.._..~_~.._~2~_/.~.~..~...~.~,_~Z=y.~_ r/ ~..~_::~_~."~._~_ ..~--~
~ ' '..: ., .-.~ . .~"~..,.~ .- .'~ . , ;~l~j~.~' ~ ' ,
.................. ,[ ....... F~.~ ........... .' ......~. ~ .~ .. ~.:~ ' _ ~L ............ .......... ' ...... ~ ';.En?~pn~ntal ~It~ 580 4113
L,)?,d Acceptance
Dear Cust,?mer:
This letter is to inform .you Gibson 011 & Refining has the
appropriate permits' for and has ac:c,:z.,,~tc?d your material for
recycling. The am,-~unt '.'e received :.'a.~ !~f~') /'~
does not agree with yo,~r ,1,~t,'~. pl,,a:..;e notify ~:; within 10
we can resolve any discrep-ancies.
Very trul.y, yo~,
Cynthia Jef~/s /~
Marketing ~nager
CJ. 015
A Subs;db,9'
211 I:asl Ocoan Blvd., e..i!a 231 2~C1 .... ~ o. 51.,
,,-. ,'
[or,gBeach, CA ~802 O?.kar,d CA 9,;5~2 ~ata~sfia~d, CA 93Y01
213/499~996 Telex: ~4-611 4~51446-/?77 Telex: 338-139 8051327-G4~3 Telex: 49492C6
F~ 213/~7-~ ..... F~ 4~5 ] 836-4503 FAX 805 1 861-0229
· i' ~ 1 Al~proved .OMB No.
Pleas(
UNIFORM H:A, ZA, RD(
4. Generator's
7. Transpocter 2 US 'EPA ID Number . .
9. Deaignllld F!.~iUt~:! ...... 10. US EPA ID Number
d, State
'; J. Addffional Descyiptions tor Malerials Listed AOove K. Handhng Codes lot Wasle~ Listed AOove
/. ,~'
lb. Special Handing Inatfuchon~ ~nd A~d~lJonal
~ GENERATOR'5 CERTIFICATION: I
~ j and are clasaihed, packed, mar~ed, an~ labeled, a~ld ar~ in ail respecl~ m proper con(hllo~l for transport by highway according to applicable international and
to be economically prachcaO{e and [nat t h~ve selecte~ tht, prAchcAbh~ method et treatmeet, storage, or disposal currently available to me which minimizes the
~ ~ I ~. Tran~porler I Acknowledgement ~t ReceJpt of Materials
~ ~ Prinrea/Typed Na~ S~;nature Mont~ Day Yea/
;~ ~ O 18. Transporter 2 AGknow~a~umenl el Race*pt el Materials
Prinled/Typea Name ' -- ~ignature Month Day Year
t 9. Oi~crepaacy tadicat~ Space
~ A